Childcare Leave Application Form

Want leave to take care of your child? Fill out this application form.

Questions for Childcare Leave Application Form


Name of the Applicant

The answer should be a text input.


The answer should be a text input.


The answer should be a text input.

Leave From

The answer should be a date input.

Leave To

The answer should be a date input.

Reason(s) for leave applied for

The answer should be a text input.

Emergency contact number

The answer should be a phone number.

Signature of applicant

The answer should be a signature.


The answer should be a date input.

Childcare Leave Application Form FAQ

What is a childcare leave form?

A childcare leave form is a form that is meant for parents especially the mothers that helps them to take leave in order to take care of their child.

What is childcare leave?

Childcare leave is usually for the mothers to take care of their children.

How many days can you take childcare leave?

If you have a minor child, you can take up to two years of childcare leave.

What are some childcare leave rules?

The childcare leave can be taken by any women employee who is having a minor child. And the leave can last up to two years.

Where can I find the child care leave application?

You can find the childcare leave application from the BlockSurvey website along with 100+ other templates.

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Childcare Leave Application Form

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